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Individual

DR. BRUCE A. HAYTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
36450 INLAND VALLEY DR, SUITE 101, WILDOMAR, CA 92595
(951) 698-7514
(951) 698-8740
Mailing address
36450 INLAND VALLEY DR, SUITE 101, WILDOMAR, CA 92595-9583
(951) 698-7514
(951) 698-8740

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G55511
CA
207RH0003X
Hematology & Oncology Physician
Primary
G55511
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G555110
CA
Enumeration date
01/19/2007
Last updated
06/19/2018
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